Individual
JOHANNA C CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10 ALDEN ST, CRANFORD, NJ 07016-2176
(908) 272-3400
Mailing address
54 STACY CT, OLD BRIDGE, NJ 08857-2673
(732) 882-5519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00881200
NJ
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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